HCPCS code G9354
One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis
What G9354 means
G9354 (1 or no ct sinus w/in 90d dx) belongs to the HCPCS Level II G series (Procedures / Professional Services (Temporary)). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.
Part B pricing: Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.).
Code details
- Short description
- 1 or no ct sinus w/in 90d dx
- Coverage code
- C = Carrier judgment
- Pricing indicator
- 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
- Multiple pricing indicator
- 9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established(pricing indicator is '99')
- Type of service
- 1 = Medical care
- Action code
- N = No maintenance for this code
- Action effective date
- January 01, 2016
- Code added date
- January 01, 2014
- Data year
- 2026
Questions about G9354
What is HCPCS code G9354?
HCPCS code G9354 is a Level II code in the G series (Procedures / Professional Services (Temporary)). Its full description is: "One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis"
Is G9354 a CPT code?
No. G9354 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.
Does Medicare cover HCPCS code G9354?
The Medicare coverage code for G9354 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.
When was HCPCS code G9354 added?
G9354 was added to the HCPCS code set on January 01, 2014. The most recent action on it (No maintenance for this code) took effect on January 01, 2016.
Nearby G codes
All G codes- G9349Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
- G9350Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis
- G9351More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis
- G9352More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given
- G9353More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)
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